Gladys is seeing a therapist because her husband committed suicide 6 months ago. Gladys tells her therapist, 'I know he was in pain, but why didn't he leave me a note?' The therapist's best response would be:

Correct Answer: C

Rationale: Rationale: The correct response is C. When someone is in emotional pain to the extent of contemplating suicide, their ability to think clearly and rationally is often compromised. This is especially true in the case of sudden or impulsive suicides. Therefore, the therapist's best response would be to explain that the husband's emotional turmoil likely clouded his judgment and prevented him from leaving a note. Incorrect Choices: A: This choice assumes impulsivity, but it doesn't address the husband's emotional state. B: While this choice considers the impact on Gladys, it doesn't directly address the husband's mental state. D: This choice focuses on Gladys' potential interpretation rather than the husband's state of mind.

Correct Answer: B

Rationale: The correct answer is B: the client's cultural background. Before touching the client to offer comfort, the nurse should consider the client's cultural background to ensure that the gesture is appropriate and respectful. Different cultures have varying attitudes towards touch, and what may be comforting in one culture could be inappropriate or invasive in another. Understanding the client's cultural background helps the nurse provide culturally sensitive care. Incorrect choices: A: the client's recent vital signs - Vital signs are important for assessing physical health, but they are not directly relevant to offering comfort through touch in this situation. C: if the doctor should be notified - Notifying the doctor is not necessary before offering comfort through touch. It is more important to consider the client's needs and preferences. D: if the client has been sad recently - While the client's emotional state is important, it is not the primary consideration before offering comfort through touch. Cultural background plays a more crucial role in determining the appropriateness of touch.

Correct Answer: C

Rationale: Step 1: Identify Peplau's contribution - Peplau is known for her Interpersonal Theory, which emphasizes the therapeutic nurse-patient relationship. Step 2: Compare with Freud - Just like Freud is associated with psychoanalytic theory, which focuses on the unconscious mind and childhood experiences, Peplau's Interpersonal Theory focuses on the interpersonal relationships in nursing. Step 3: Eliminate other choices - A (Psychosocial theory) is more closely associated with Erikson, B (Nursing theory) is too broad, and D (Object relations theory) is more aligned with Melanie Klein. Step 4: Conclusion - The correct answer is C (Interpersonal theory) because Peplau's work focuses on the interpersonal relationships within the nursing context, similar to how Freud focused on psychoanalytic theory.

Correct Answer: C

Rationale: The correct answer is C: Therapeutic use of "reflection." This communication technique involves mirroring the client's feelings or thoughts back to them, allowing them to explore their own emotions. In this scenario, the nurse is reflecting the client's feelings back to them by asking how their refusal to attend group therapy made them feel. This encourages self-exploration and insight. A: Therapeutic use of "restatement" involves repeating the client's words to show understanding, which is not demonstrated in the scenario. B: Nontherapeutic use of "probing" involves asking direct questions that may feel intrusive, which is not the case here. D: Nontherapeutic use of "interpreting" involves offering interpretations or judgments, which is not demonstrated in the scenario.

Correct Answer: D

Rationale: The correct answer is D: Alzheimer's disease. Alzheimer's disease is the most prevalent mental disorder in the United States, affecting millions of individuals. It is a neurodegenerative disorder characterized by memory loss and cognitive decline. Schizophrenia (A) is less common than Alzheimer's disease. Bipolar disorder (B) and Dissociative fugue (C) are also less prevalent compared to Alzheimer's disease. Alzheimer's disease is specifically known for its high prevalence and impact on the population.